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Hello and welcome to JA. I am Dr Saleem, will be right back with the answer.
I would like to know for how long have you been having this pain? Has it always been linked with diarrhea ? Is the pain like cramps? Please describe its character? Do you have any acidity issues or indigestion? Any blood in stools ever? Any weight loss?
Diarrhea immediately after food can be because of following reasons.
Irritable Bowel syndrome; Features including abdominal cramps, bloating , improvement after passing stool , frequent diarrhea sometimes might be accompanied with alternating constipation.
Osmotic diarrhea that improves only with fasting.
Inflammatory bowel disease; long history of diarrhea with pain usually more towards right lower abdomen, it can also worsen with food.
Well pain of duodenal ulcers can present when empty stomach or few hours have elapsed. However alternating diarrhea and constipation does not quite fit in. Does the pain get better when you pass stool?
Have you had a stool tests for ova and cysts/ trophozoites just to rule out any worm infestation. Other possibilities include Irritable bowel syndrome and Crohn's disease. A detailed work up is required to figure out the exact cause.
Sometimes colonoscopy can be normal in Crohns.
Well signing out for now, will be back tomorrow with a comprehensive plan for you. Its 4am here. Getting some sleep.
Well sorry for the wait. Most of your symptoms seem to be related to dyspepsia with superimposed IBS. Pain under the ribs on both sides can only explained by excessive gas in stomach . IBS has similiar features and can be aggravated by this .
Another possibility to be ruled out is Giardiasis which may sometimes cause abdominal discomfort, bloating and diarrhea and persist for weeks.
Crohns disease usually has a longer history as its characterized by spells of diarrhea and pains and then completely normal few weeks/ months.other features include occasional mild fever, myalgias etc.
Let me know if you want to discuss on this .